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Biden, Netanyahu speak amid concerns over possible Rafah invasion


(NewsNation) — U.S. President Joe Biden and Israeli Prime Minister Benjamin Netanyahu spoke over the phone Monday amid concerns that a ground invasion of the southern Gaza city of Rafah could begin soon.

According to a readout of the meeting, Biden “reaffirmed his message on Yom HaShoah, Holocaust Remembrance Day” and Biden updated Netanyahu on efforts to secure a hostage deal.

During the call, Biden also “reiterated his clear position on Rafah.”

Israel’s military on Monday ordered Palestinians in areas of Rafah to start evacuating, complicating efforts by mediators to broker a cease-fire deal. Qatar, a key mediator, and Hamas have said an invasion of Rafah could derail the talks, while United States officials have urged Israel against the invasion.

Axios reported that the Biden administration even put a shipment of U.S.-made ammunition that was supposed to go to Israel on hold, the first time since Hamas’ Oct. 7 attack on Israel that the U.S. has stopped a weapons delivery for the country. Israeli officials told Axios that this raised “serious concerns” for the government, sending them “scrambling to understand why the shipment was held.”

About 1.4 million Palestinians, which is about half of Gaza’s population, according to the Associated Press, are in Rafah. Many of them fled there from the north to escape Israel’s bombardment, which has already killed more than 34,500 people, according to the Hamas-run Gaza Health Ministry.

Those in Rafah live in densely packed tent camps or overflowing U.N. shelters or crowded apartments, the Associated Press reported, and are dependent on international aid for food, with sanitation systems and medical facilities infrastructure crippled.

“More than 200 days of war have taken an unimaginable toll on the lives of children,” UNICEF Executive Director Catherine Russell said in a statement Monday. “Rafah is now a city of children, who have nowhere safe to go in Gaza. If large scale military operations start, not only will children be at risk from the violence, but also from chaos and panic, and at a time where their physical and mental states are already weakened.”

Warning of “a further catastrophe” for the around 600,000 children currently taking shelter in the enclave, UNICEF said they are especially vulnerable because of the “likely intensity of the violence, with potential evacuation corridors likely mined or littered with unexploded ordnance; and shelter and services in areas for relocation very likely to be limited.”

Even with the international pressure not to, Netanyahu said last week Israel would enter Rafah to destroy Hamas’ battalions there “with or without a deal.”

NewsNation digital producer Tanya Noury and The Associated Press contributed to this report.


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The celebrity co-chairs for the 2024 Met Gala are already showing off their style


Jennifer Lopez arrives at Anna Wintour's pre-Met Gala dinner.Jennifer Lopez arrives at Anna Wintour’s pre-Met Gala dinner.

Gotham/Getty Images

  • Anna Wintour hosted her pre-Met Gala dinner in New York City on Sunday night.
  • The event’s co-chairs — Jennifer Lopez, Zendaya, Bad Bunny, and Chris Hemsworth — all attended.
  • Zendaya wore a vintage John Galliano dress and Bad Bunny sported a Yankees baseball cap.

The 2024 Met Gala hasn’t started yet, but its celebrity co-chairs are already showing off their style.

Ahead of the Metropolitan Museum of Art’s annual fundraising ball, Anna Wintour hosted a pre-Met Gala dinner in New York City on Sunday night.

Its guest list was small but mighty, featuring the four stars helping Wintour lead the “Sleeping Beauties: Reawakening Fashion” event: Jennifer Lopez, Zendaya, Bad Bunny, and Chris Hemsworth.

And, of course, each co-chair made a fashionable entrance into the function.

Andrew Bolton, Anna Wintour and Jonathan Anderson at the Metropolitan Museum of Art.Andrew Bolton, Anna Wintour, and Jonathan Anderson at the Metropolitan Museum of Art.

Slaven Vlasic/Stringer/Getty Images

Bad Bunny arrived in an understated outfit that subtly paid homage to New York City.

He sported a black coat over a cream-colored T-shirt, black trousers, and accessories, including chunky boots, round glasses, a New York Yankees cap, and a leather tote bag.

The musician also wore a single latex glove that covered half of one hand.

Bad Bunny arrives at Anna Wintour's pre-Met Gala dinner.Bad Bunny arrives at Anna Wintour’s pre-Met Gala dinner.

Gotham/Getty Images

Jennifer Lopez took the opposite approach in a glamorous, diamond-covered look.

She wore a custom velvet dress from Diana Qerimi embellished with crystals, a black blazer, $925 Casadei platform sandals, and a $1,950 clutch from Tyler Ellis.

But it was her jewelry that stole the show.

Wearing pieces from Yeprem, Lopez sported an $8,400 diamond ring and a $31,200 earring set.

Jennifer Lopez arrives at Anna Wintour's pre-Met Gala dinner.Jennifer Lopez arrives at Anna Wintour’s pre-Met Gala dinner.

Gotham/Getty Images

Chris Hemsworth matched his wife, Elsa Pataky, for the Met Gala dinner.

The model wore an alligator-print blazer and matching mini shorts in a sparkly blue color, and Hemsworth donned a cheetah-print blazer in the same shade.

But while Pataky paired her outerwear with a satin button-up blouse in lavender, Hemsworth wore a black V-neck top, navy trousers, and orange-tinted sunglasses.

Elsa Pataky and Chris Hemsworth arrive at Anna Wintour's pre-Met Gala dinner.Elsa Pataky and Chris Hemsworth arrive at Anna Wintour’s pre-Met Gala dinner.

Gotham/Getty Images

And finally, Zendaya made an entrance worthy of a princess in a vintage John Galliano piece.

Her white knit dress was sleeveless and decorated with a mesh butterfly-print piece across her collarbones. It also had a midi skirt, seemingly cut from the original’s floor-length design.

Zendaya arrives at Anna Wintour's pre-Met Gala dinner.Zendaya arrives at Anna Wintour’s pre-Met Gala dinner.

Gotham/Getty Images

The gown was first created for Galliano’s 1998 spring runway collection.

A John Galliano design for his 1998 spring runway show.A John Galliano design for his 1998 spring runway show.

Penske Media/Getty Images

Though each co-chair dressed differently for Wintour’s dinner, all four stars looked stunning in their designer duds.

And if their past Met Gala ensembles are any indication, last night’s dinner looks are only a precursor to the mega fashion moments we can expect to see tonight.

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I’ve been to Vegas over 50 times. Here are the 8 best restaurants on The Strip.


Author Wendy Lee posing at Catch in front of wall of rosesCatch is one of my favorite restaurants in Las Vegas.

Wendy Lee

Some people go to Vegas to gamble; I go to eat.

After visiting Las Vegas over 50 times, my husband and I have a dining strategy: We return to a few of our favorite spots and then try a couple of new ones.

And with Las Vegas tourism levels reaching a record-breaking high at the end of 2023, knowing where to make a reservation — or where you can pop by for great food without one — is as crucial as ever.

Here are some of my favorite restaurants on The Strip.

The Chef Truck is the perfect spot for delicious Cuban food at reasonable prices

The Chef Truck in Las VegasThe Chef Truck is hard to miss.

Wendy Lee

As a fan of the movie “The Chef,” I knew I had to try The Chef Truck, a bright-yellow food truck parked inside the Park MGM.

The truck serves Cuban-inspired food and is a collaboration between celebrity chef Roy Choi and actor/director Jon Favreau that opened in late 2023.

I suggest starting with a warm sandwich, like the Cubano, and ending with the chocolate lava cake.

The prices are reasonable — every dish is under $20 — and there’s a small seating area nearby, making this the perfect lunch stop between gambling or shopping on The Strip.

Lago combines great views of the Bellagio fountains and excellent Italian food

Julian Serrano's Lago Restaurant which comes with views of Bellagio Hotel & Casino water fountain showA seat at Julian Serrano’s Lago Restaurant can come with views of the Bellagio Fountains.

George Rose/Getty Images

I’m a sucker for a restaurant with a view of the Bellagio Fountains —especially at night — so I often head to one of the restaurants in the Bellagio Hotel & Casino for a romantic dinner.

Lago by Julian Serrano serves upscale Italian fare, my favorite cuisine. During our last visit there, we shared the delicious seafood linguine and prime rib with peppercorn sauce.

Both were accompanied by a bottle of Chianti recommended by our server.

Author Wendy Lee and partner at Lago in front of BellagioYou can see some beautiful views at Lago.

Wendy Lee

Try to snag a table on the outdoor patio for the best possible views. You have a better chance of getting a spot if you reserve a table in advance.

Ocean Prime is a splurge-worthy restaurant perfect for celebrating special occasions

Ocean Prime dining room in VegasOcean Prime is a great spot for a high-end meal.

Wendy Lee

In 2023, Ocean Prime opened on the corner of Las Vegas Boulevard and Harmon Avenue — it even has a rooftop terrace overlooking The Strip.

The upscale restaurant chain is known for steak and seafood, and we dined here for our 32nd anniversary. We began with oysters and bubbly, moved on to scallops and martinis, and ended with warm butter cake.

Everything was delicious and Ocean Prime had excellent service. It’s a splurge — most appetizers are $25 or more — but worth it for a special occasion.

Catch is Instagram-worthy with seriously good brunch entrées and creative cocktails

The entrance to Catch restaurant at the Aria Resort & Casino in the City CenterCatch was definitely meant to be photographed.

George Rose/Getty Images

Catch is filled with beautiful decor and photo opportunities that make it obvious it was designed to be a place where visitors can take the perfect Instagram photo.

At first, that made me doubt the quality of the food — but I’ve learned the food is even better than the decor.

On a recent trip to Catch, I got the best French toast I’ve ever eaten.

Meyer-lemon-stuffed French toastThe French toast at Catch is incredible.

Wendy Lee

The French toast offerings vary by season, but the one I tried was filled with a delicious Meyer-lemon cream. We topped off our meal with a couple of cocktails with fun names like Lush Lemonade and Detox Retox.

Bardot Brasserie offers a French-inspired brunch menu reminiscent of a Parisian Cafe

Caviar-topped DEviled eggs at BardotWe got deviled eggs topped with caviar at Bardot Brasserie.

Wendy Lee

Another great brunch option on The Strip is Bardot Brasserie, located inside the Aria Resort & Casino. The decor is all dark wood and marble, which reminds me of cafés in Paris.

On a recent visit, we started with deviled eggs topped with caviar and steak tartare and both were excellent. For entrées, I enjoyed the French omelet, and my husband got eggs Benedict with smoked salmon.

Although both items were delicious, I was especially obsessed with Bardot Brasserie’s version of hash browns. The small, crispy squares of layered potatoes were perfectly seasoned, putting any other hash browns to shame.

You can’t go wrong with lunch or dinner at Giada’s

We first discovered GIADA shortly after it opened in 2014 in the Cromwell. We had reservations for lunch and liked it so much we returned that evening for dinner.

Now, it’s one of our regular dining spots. I always request a window table so we can enjoy the view of The Strip while dining.

The Giada De Laurentiis-created restaurant serves upscale Italian food. If we’re here for dinner, we share the bone-in ribeye topped with a sunny-side-up egg and pair it with one of the pasta.

The best New York slice in Las Vegas can be found at Secret Pizza

I’m not even sure the official name of this place is Secret Pizza because there’s no signage at the entrance, and it doesn’t appear on the website of the Cosmopolitan Resort & Casino where it’s located.

What I do know is that this is great New York-style pizza, and we never go to Vegas without stopping here for lunch.

To find this place head to the third level of the Boulevard Tower of the Cosmopolitan and look for a long hallway next to Jaleo. The line can get long, so come with some patience. You can order a slice or a whole pie.

There’s limited seating inside so we usually take our pizza and beer to the communal seating areas nearby.

Mon Ami Gabi has long been my go-to spot for lunch with a view

Mon Ami Gabi LasVegasMon Ami Gabi has outdoor seating.

Harun Ozmen/Shutterstock

We’ve been eating at Mon Ami Gabi for over 20 years, mostly for lunch.

Located inside Paris Las Vegas, the French eatery has a patio directly across the street from the Bellagio Fountains. We love to sit watch the fountain show while we eat. Showtimes vary so I usually check them and make our dining reservations accordingly.

The food is French bistro fare featuring entrées like steak au poivre and trout almondine. We always start with a baguette and a starter, such as the chicken-liver-mousse páté, and complete our meal with glasses of wine or classic cocktails.

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The 6 best flea treatments for dogs in 2024


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Dog flea treatment medicine packages from Seresto, Frontline, Advantage, Simparica, Adams, and Capstar are on a yellow background.The best flea treatments for dogs include collars, spot-ons, pills, and shampoos.

Chewy; Petco/Business Insider

With one of the best flea treatments for dogs, you can prevent and kill fleas and other harmful parasites safely and effectively. Many dog flea medicines also treat ticks and lice and prevent heartworm infections. You can find these medications in the form of topicals, chewable tablets, shampoos, and collars. 

In order to make our recommendations for the top flea and tick medicines, we asked veterinarians how to prevent and eliminate parasites in puppies and adult dogs. Then we researched products using the Companion Animal Parasite Council’s quick product reference guide. Our top pick is Advantage Multi, a prescription medicine that prevents and controls fleas and protects against heartworm. If you’re looking for an over-the-counter (OTC) medicine, we recommend Frontline Plus for dogs, a topical flea and tick treatment.

It’s important to ask your veterinarian what type of flea and tick preventive is best for your dog. The ideal treatment depends on your dog’s temperament, lifestyle, and the most common parasites where you live. 

Read more about how Business Insider Reviews tests and researches pet products.

Our top picks for the best flea treatments for dogs

Best topical preventative overall: Advantage Multi for Dogs – See at Chewy

Best OTC topical preventative: Frontline Plus for Dogs – See at Chewy

Best pill: Simparica TRIO – See at Chewy

Best for young puppies: Capstar for Dogs – See at Chewy

Best collar: Seresto Flea and Tick Collar for Dogs – See at Chewy

Best shampoo: Adams Plus Flea and Tick Shampoo with Precor – See at Chewy

Best topical preventative overall

Not even the best flea treatments for dogs control every harmful parasite, but Advantage Multi for Dogs comes close. It’s also one of our top picks for the best flea and tick treatments for puppies.

Advantage Multi is a topical spot-on product that contains the active ingredients imidacloprid and moxidectin, which prevent flea infestations by killing adult fleas before they can lay eggs. It also prevents heartworm, mange mites, and three intestinal parasites (roundworms, hookworms, and whipworms). But if your dog already has worms, your vet may recommend treating them with one of the best dog dewormers. As with all medications that prevent heartworm, your dog needs a heartworm test before starting Advantage Multi and annually after that.

Advantage Multi is easy to use: Every 30 days, apply it to your dog’s skin at the base of their neck between the shoulder blades. The liquid medication is absorbed and dries within hours. Unlike other topical preventatives, you don’t need to wear gloves to apply Advantage Multi. If you get the product on your hands, just wash them with soap and water. For a half-hour after application, keep dogs from licking the application site, either on themselves or other treated dogs. Children should not touch the application site for two hours.

Advantage Multi does not prevent ticks. If you need to control ticks, consider Frontline Plus for Dogs, Bravecto Topical for Dogs, or K9 Advantix II.

Best OTC topical preventative

Among the best flea treatments for dogs, Frontline Plus is our top pick because it kills ticks and fleas, controls flea infestations, and kills chewing lice with one easy application. Each dose of Frontline Plus lasts up to three months for flea control. If you’re concerned about ticks or biting lice, apply it monthly.

Frontline Plus has been used and trusted by pet owners for over 20 years. Parasites do not have to bite your dog for the treatment to work because the medicine works on contact. Its active ingredients, fipronil and S-methoprene, work together to kill parasites and break the flea life cycle. Fipronil kills adult fleas and ticks, while S-methoprene prevents flea eggs, larvae, and pupae from developing. If your pet has a lot of fleas, it can take up to a month of consistent use to get rid of them because flea eggs can be in your home but not on your dog.

Frontline Plus is easy to use. Squeeze all the liquid in the tube onto one spot of your dog’s skin between the shoulder blades. The liquid medication spreads across the skin and gets stored in their oil glands. Then it distributes itself continuously via the hair follicles.

Best pill

Our pick for the best flea treatment for dogs in pill form is Simparica TRIO. The fast-acting chewable tablet kills more parasites than any other oral product. It starts to work within four hours and kills 100% of adult fleas on dogs within eight hours.

It may be tough to choose between an oral or topical flea control product because there are pros and cons to each type of product. In some cases, an oral preventive is a better choice. For instance, some dogs with sensitive skin can’t tolerate spot-on treatments. “Oral products have the benefit of broad coverage to reach every spot of skin without the chance of the product being washed off,” says Dr. Kate Crumley, a veterinarian with Blue Heron Consulting.  

You can give the liver-flavored tablets with or without food once a month. The treatment contains three ingredients (sarolaner, moxidectin, pyrantel) and provides an entire month of protection against more parasites than any other oral product. Simparica TRIO is also safe for some of the youngest puppies and smallest dogs. It requires a prescription from your veterinarian and a negative heartworm test. You should use it with caution if your dog has a history of neurologic disorders such as seizures.

Best for young puppies

You want to eliminate fleas as quickly as possible if your dog has a heavy infestation, especially if they’re a young puppy. Available without a prescription, Capstar for Dogs is the only flea control product safe for puppies as young as 4 weeks and weighing at least 2 pounds. With other topical and oral flea control medicines, puppies must be at least 8 weeks old and sometimes older. 

The active ingredient in Capstar, nitenpyram, works within 30 minutes and kills more than 90% of adult fleas in as little as four hours. It only protects for 24 hours, but it is safe to give daily if necessary. Daily dosing is helpful for young puppies who might not be old enough for an oral or spot-on treatment that provides long-term protection.  Once your puppy is old enough, you should follow up with a flea control product that provides a month or more of protection.

Best collar

Editor’s note: A March 2021 investigation by USA Today reported 1,700 animal deaths and other adverse reactions linked to Seresto flea collars. It’s unknown if the EPA-approved pesticides used in the collar caused these incidents. You can read more about the safety of Seresto collars in our FAQs.

Flea collars were once the go-to method for flea control, but most collars don’t offer the same level of protection as topical and oral treatments. One noteworthy collar is the Seresto Flea and Tick Collar for Dogs, which uses sustained-release technology to provide eight months of continuous protection against adult fleas, flea larvae, four species of ticks, chewing lice, and mange mites.

In general, the best flea treatments for dogs are topical spot-on and oral preventatives, but the Seresto collar might be a good option in certain situations. Dr. Kelley Lay, a relief veterinarian in Nashville, Tennessee, says that traditional flea and tick collars are generally not very effective. She has even seen allergic reactions and other issues with some of them. However, she says the Seresto collar is safe and effective and recommends it to clients with pets who don’t tolerate topical or oral flea and tick preventives.

The collar is nongreasy, odor-free, lightweight, and adjustable for dogs of all sizes. Your dog can wear it alongside their regular collar, and it has a safety system to keep them safe if the collar gets caught on something. The collar’s active ingredients, imidacloprid and flumethrin, are released in low concentrations over your dog’s skin and coat to kill fleas and ticks on contact within 24 hours. You don’t need to remove this water-resistant collar during swimming or bathing with one of the best dog shampoos.

Best shampoo

Adams Plus Flea and Tick Shampoo is our top pick for the best flea shampoos for dogs. In addition to killing fleas, flea eggs and larvae, ticks, and lice for up to 28 days, the shampoo soothes skin that has become dry and irritated from flea bites and constant scratching. 

The shampoo contains synthetic pesticides commonly included in flea and tick shampoos: pyrethrins and S-methoprene (Precor). It also contains piperonyl butoxide to enhance the effectiveness of those pesticides. Oatmeal helps heal irritated and itchy skin, and the shampoo has a pleasant coconut scent. 

Lay says flea shampoos are fine to use alongside prescription flea control medications. However, shampoos shouldn’t be considered the first or best line of defense against fleas. Veterinarian-prescribed, year-round prevention remains the gold standard. Despite marketing claims, these shampoos don’t provide substantial flea protection after the bath, so your dog may be susceptible to repeated infestations. Some ingredients in shampoos can also irritate the skin.

What to look for in flea and tick medicine for dogs

Safety and efficacy: FDA– or EPA-approved products have undergone rigorous safety and efficacy testing before going to market.

Number of parasites treated: Using a product that protects against more than just fleas is convenient. While your veterinarian can advise you on which product is best for your dog, we generally favor products that cover more parasites. 

There are some exceptions. For instance, Capstar treats only fleas, but it is the only medicine available for puppies younger than 6 weeks. OTC products, like Frontline Plus, protect against additional parasites such as ticks and lice but not heartworms. Products that treat heartworm always require a veterinary prescription.

Ease of use: The easier it is to use a product, the better. For example, chewable tablets are quick and easy to give your dog, provided they like the flavor. Products that require a person to wear gloves when they apply it or require the treated animal to stay away from children or other pets for a while may be a hassle. 

Minimum age and weight: Flea treatments are intended for dogs above a minimum age and weight. Your options for a very young puppy will be more limited until they are older and weigh more. 

Prescription vs. over-the-counter: Some flea control products are available over the counter. Others require a prescription from your veterinarian. You can buy prescription medicines from your veterinarian or online pet pharmacies and stores like Chewy, Petco, and PetSmart.

Prescription flea control products typically cost more than OTC options because they protect against more parasites, most importantly, deadly heartworms. Dogs must test negative for heartworms before starting a heartworm preventive. 

Types of flea and tick medications: There are several types of treatments, including topical, oral, collars, shampoos, and sprays. Cost, convenience, ease of use, and effectiveness vary among these products. Your vet can help you determine the best type for your dog. We advise against flea sprays because topical spot-ons and oral products are more effective. Remember that some dogs with sensitive skin may not tolerate topical products. Crumley says that frequent bathing or swimming may also reduce the effectiveness of a topical product that remains on the skin’s surface.

Natural vs. synthetic: Our experts do not recommend using natural products instead of veterinarian-recommended topical and oral flea control. While natural treatments can deter fleas and ticks, they won’t eliminate an infestation. “If you use them, be prepared to apply them at least daily before your pet goes outside for the best chance of keeping the hitchhikers from latching on,” says Crumley. If you also have kitties at home, avoid natural flea control products containing essential oils because some can be toxic to cats.

Other pets in your home: Any product labeled for use in only dogs should never be given to a cat. Some ingredients can be toxic to cats. While any dog-only flea product can harm felines, cats are especially sensitive to pyrethrins. If you’re looking for a safe product for your cat, check out our guide to the best flea treatments for cats.

How we selected the best flea treatments for dogs

We consulted two veterinarians for advice regarding the treatment and prevention of fleas and other parasites in dogs. This information guided our selection of the best flea treatments for dogs, but our experts did not endorse any of the products included in this guide unless explicitly quoted.

We also conducted research using the quick product reference guide published by the independent, nonprofit Companion Animal Parasite Council. This helpful reference includes all FDA- and EPA-approved parasite control products for small animals along with each product’s active ingredients, directions for how to use it, and which parasites it controls.

Flea medicine for dogs FAQs

Do dogs really need flea and tick medicine?

Yes. Not only are fleas and ticks a big nuisance, they also carry diseases that can make dogs extremely ill. Although you may be tempted to use parasite preventives only in spring and summer, fleas, ticks, mosquitoes, and intestinal parasites are resilient. Veterinarians recommend that dogs stay on broad-spectrum parasite preventives all year.

What are the types of flea and tick medicine for dogs?

Flea and tick medicines are available as oral and topical products, collars, and shampoos. Oral products are chewable tablets, while topical products are ointments that go directly on the skin. Flea collars have fallen out of favor because they are less effective than oral and topical treatments. Shampoos are also less effective and do not provide long-lasting flea protection. These medicines are available over the counter or by prescription and contain different active ingredients to kill and repel fleas and ticks. 

What do vets recommend to get rid of fleas?

Getting rid of fleas can take several days to weeks. Veterinarians recommend a multipronged approach: Kill the existing fleas, prevent new infestations, and treat the environment, both indoors and outside. If you have multiple pets, treat them at the same time. Treating inside your home involves vacuuming where flea eggs and larvae like to hide, such as cracks and crevices, and washing bedding in hot water. Treating outdoors involves eliminating any areas where fleas could hide, such as piles of leaves and tall grass. If this process seems daunting, you can hire a pest control service.

What is the most effective flea and tick treatment for dogs?

There is no single treatment that works best for all dogs. The best flea and tick treatments for dogs vary in many ways, including how many parasites they target, active ingredients, safety restrictions, and how long they’re effective. The most desirable treatments provide long-lasting protection, target adult fleas as well as eggs and larvae, and are effective against other parasites, such as heartworm and intestinal worms. Your veterinarian can help you select the most appropriate product for your dog.

What kills fleas permanently?

To eliminate fleas permanently, you’ll need to do more than kill adult fleas. The other developmental stages, egg and larvae, must also be eliminated. Products that kill the early stages of fleas are the most effective. Year-round flea and tick treatment is also crucial to preventing future infestations. It may take several weeks before all the fleas are gone.

Which is better, NexGard or Frontline?

Both NexGard and Frontline kill fleas at all life stages, plus ticks. Both treatments have their advantages. There are several Frontline products: Shield, Plus, and Gold. Our top choice for an OTC flea preventive is Frontline Plus, which also protects against chewing lice and helps control sarcoptic mange infestations. Compared to Frontline Plus, NexGard kills fleas more quickly (4 hours versus 12 hours) and ticks (24 hours versus 48 hours). For this reason, NexGard is a better choice for preventing the transmission of Lyme disease from ticks. Some veterinarians also use NexGard to treat mange.

What is the safest flea and tick medicine for dogs?

Flea and tick medicines are FDA-approved to be safe and effective. However, these medicines also have safety restrictions depending on age, weight, and whether a dog is pregnant or nursing. Some treatments also have safety warnings for dogs with a history of seizures or other neurologic disorders. As you evaluate flea and tick medicines, check the label to ensure it’s safe for your dog. 

What is the difference between prescription and OTC flea medicine?

Some flea control products are sold over the counter, while others require a prescription. Prescription products typically cost more than OTC treatments because they protect against more parasites, including heartworms. However, OTC options can still provide effective, long-lasting treatment against fleas and other parasites.

Can I get flea and tick medicine without a vet prescription?

Yes, OTC treatments are available without a prescription. These medicines usually do not protect against as many parasites as prescription flea and tick products.

Do flea collars work?

Yes. Flea collars work but are generally less effective than topical or oral treatments. Seresto Flea and Tick Collar for Dogs provides eight months of protection against adult fleas, flea larvae, ticks, and mange mites. Lay recommends flea collars for dogs that cannot tolerate topical or oral flea products. 

Is Seresto harmful to dogs?

In March 2021, USA Today and the Midwest Center for Investigative Reporting published a report alleging that the Seresto flea collar is linked to thousands of adverse incidents in pets and humans. To date, 2,500 pet deaths have been allegedly linked to the collar.

Elanco published a statement defending the collar’s safety and efficacy. The American Veterinary Medical Association (AVMA) and Pet Poison Hotline followed suit. The EPA recommends pet owners read the entire label before using any flea collar and follow all directions carefully. Your veterinarian can provide additional safety guidance. Purchase a Seresto collar only from a reputable online retailer, brick-and-mortar store with a guarantee program, or your veterinarian. To verify product authenticity, call Elanco product support at 800-422-9874. If your pet has an adverse reaction, immediately remove the collar and call your veterinarian. Tim Carroll, EPA’s press secretary, advises pet owners to contact the  National Pesticide Information Center and report adverse reactions to the EPA.

How can I tell if my dog has fleas?

Fleas are hard to see with the naked eye. Look for signs of a flea infestation on your dog, including nonstop biting, scratching, or licking and red, irritated skin. Flea dirt, a rust-colored mixture of blood meal and dried feces, is a telltale sign of fleas and can be found in places your dog spends time, such as their bed. Running a flea comb against the direction of your dog’s fur can pick up the dirt. You can often see it on your dog in hard-to-reach places like the base of the tail, middle of the back, and groin. Other signs include pale gums, which are a sign of anemia, and patches of hair loss. 

Best topical preventative overall

Not even the best flea and tick medicine for dogs controls every harmful parasite, but Advantage Multi for Dogs comes close. It’s also one of our top picks for the best flea and tick treatments for puppies.

Advantage Multi is a topical spot-on product that contains the active ingredients imidacloprid and moxidectin, which prevent flea infestations by killing adult fleas before they can lay eggs. It also prevents heartworm, mange mites, and three intestinal parasites: roundworms, hookworms, and whipworms. If your dog already has worms, your vet may recommend treating them with one of the best dog dewormers. As with all medications that prevent heartworm, your dog needs a heartworm test before starting Advantage Multi and annually after that.

Advantage Multi is easy to use: Every 30 days, apply it to the dog’s skin at the base of the neck between the shoulder blades. The liquid medication is absorbed and dries within hours. Unlike other topical preventatives, you don’t need to wear gloves to apply Advantage Multi. If you get the product on your hands, simply wash them with soap and water. For a half-hour after application, keep dogs from licking the application site, either on themselves or other treated dogs. Children should not touch the application site for two hours after application.

Advantage Multi does not prevent ticks. If ticks are a concern, consider Frontline Plus for Dogs, Bravecto Topical for Dogs, or K9 Advantix II.

Best OTC topical preventative

Among the best flea and tick treatments for dogs, Frontline Plus is our top nonprescription recommendation because it kills ticks and fleas, controls flea infestations, and kills chewing lice, all with one easy application. When used primarily for flea control, each dose of Frontline Plus lasts up to three months. If ticks or biting lice are a concern, apply it monthly.

Frontline Plus has been used and trusted by pet owners for over two decades. Parasites die on contact — they do not have to bite your dog for the treatment to work. Its active ingredients, fipronil and S-methoprene, work together to kill parasites and break the flea life cycle. Fipronil kills adult fleas and ticks, while S-methoprene prevents flea eggs, larvae, and pupae from developing. If your dog has a lot of fleas, it can take up to a month of consistent use to get rid of them because flea eggs can be in your home but not on your dog.

Frontline Plus is easy to use. Squeeze all the liquid in the tube onto one spot of your dog’s skin between the shoulder blades. The liquid medication spreads across your dog’s skin and gets stored in the oil glands. It distributes itself continuously via the hair follicles.

Best pill

Our pick for the best flea treatments for dogs in pill form is Simparica TRIO. This chewable tablet is fast-acting and kills more parasites than any other oral product. It starts to work within four hours and kills 100% of adult fleas on dogs within eight hours.

Choosing between an oral or topical flea control product is tough for some dog owners. There are pros and cons to each type of product. In some cases, an oral preventive is a better choice. For instance, some dogs with sensitive skin can’t tolerate spot-on treatments. “Oral products have the benefit of broad coverage to reach every spot of skin without the chance of the product being washed off,” says Dr. Kate Crumley, a veterinarian with Blue Heron Consulting.  

You can give the liver-flavored tablets with or without food once a month. The treatment contains three ingredients — sarolaner, moxidectin, and pyrantel — and provides an entire month of protection against more parasites than any other oral product. Simparica TRIO is also safe for some of the youngest puppies and smallest dogs. It requires a prescription from your veterinarian, as well as a negative heartworm test. It should be used with caution in dogs with a history of neurologic disorders such as seizures.

Best for young puppies

Fleas should be eliminated as quickly as possible for heavily infested dogs, especially young puppies. Available without a prescription, Capstar for Dogs is the only flea control product safe for puppies as young as 4 weeks and weighing at least 2 pounds. With other topical and oral flea control products, puppies must be at least 8 weeks old and sometimes older. 

The active ingredient in Capstar, nitenpyram, works within 30 minutes and kills more than 90% of adult fleas on dogs in as little as four hours. Its protection against fleas lasts only 24 hours, but it is safe to give daily if necessary. Daily dosing is helpful for young puppies that might not be old enough to use an oral or spot-on product that offers long-term protection. Owners should follow up with a flea control product that provides a month or more of protection once the puppy is old enough.

Best collar

A March 2021 investigation by USA Today reported 1,700 animal deaths and other adverse reactions linked to Seresto flea collars. It’s unknown if the EPA-approved pesticides used in the collar caused these incidents. You can read more about the safety of Seresto collars in our FAQs.

Flea collars were once the main option for flea control, but most don’t offer the same level of protection as topical and oral medicines. One noteworthy collar is the Seresto Flea and Tick Collar for Dogs, which uses sustained-release technology to provide eight months of continuous protection against adult fleas, flea larvae, four species of ticks, chewing lice, and mange mites.

In general, topical spot-on and oral preventatives are the most effective flea control for dogs, but the Seresto collar might be a good option in certain situations. Dr. Kelley Lay, a relief veterinarian in Nashville, Tennessee, says that traditional flea and tick collars are generally not very effective. She has even seen allergic reactions and other issues with some of them. However, she has found the Seresto collar safe and effective and recommends it to clients with pets who don’t tolerate topical or oral flea and tick preventives.

The collar is nongreasy, odor-free, lightweight, and adjustable for dogs of all sizes. It can be worn alongside your dog’s regular collar and has a two-step safety system to keep your dog safe if the collar gets caught on something. The collar’s active ingredients, imidacloprid and flumethrin, are released in low concentrations over your dog’s skin and coat to kill fleas and ticks on contact — parasites do not need to bite your dog for the collar to work. It kills 100% of fleas within 24 hours of placing the collar on your dog. You don’t need to remove this water-resistant collar during swimming or bathing with one of the best dog shampoos.

Best shampoo

Our top pick for the best flea shampoos for dogs is Adams Plus Flea and Tick Shampoo. In addition to killing fleas, flea eggs and larvae, ticks, and lice for up to 28 days, this shampoo soothes skin that has become dry and irritated from flea bites and constant scratching. 

The shampoo contains pyrethrins and S-methoprene (Precor) synthetic pesticides commonly included in flea and tick shampoos. It also contains piperonyl butoxide to enhance the pesticides’ effectiveness. Oatmeal helps heal irritated and itchy skin, and the shampoo has a pleasant coconut scent. 

Lay says that flea shampoos are fine to use alongside prescription flea control medications but shouldn’t be considered the first or best line of defense against fleas. Veterinarian-prescribed, year-round flea prevention remains the gold standard. Despite marketing claims, these shampoos do not provide substantial flea protection after the bath and may leave dogs susceptible to repeated infestations. Some ingredients in shampoos can also irritate the skin.

What to look for in flea and tick medicine for dogs

Safety and efficacy: FDA– or EPA-approved products have undergone rigorous safety and efficacy testing before going to market.

Number of parasites treated: Using a product that protects against more than just fleas is convenient. While your veterinarian can advise you on which product is best for your dog, we generally favor products that cover more parasites. 

There are some exceptions. For instance, Capstar treats only fleas, but it is the only medicine available for puppies younger than 6 weeks. OTC products, like Frontline Plus, protect against additional parasites such as ticks and lice but not heartworms. Products that treat heartworm always require a veterinary prescription.

Ease of use: The easier it is to use a product, the better. For example, chewable tablets are quick and easy to give your dog, provided they like the flavor. Products that require a person to wear gloves when they apply it or require the treated animal to stay away from children or other pets for a while may be a hassle. 

Minimum age and weight: Flea treatments are intended for dogs above a minimum age and weight. Your options for a very young puppy will be more limited until they are older and weigh more. 

Prescription vs. over-the-counter: Some flea control products are available over the counter. Others require a prescription from your veterinarian. You can buy prescription medicines from your veterinarian or online pet pharmacies and stores like Chewy, Petco, and PetSmart.

Prescription flea control products typically cost more than OTC options because they protect against more parasites, most importantly, deadly heartworms. Dogs must test negative for heartworms before starting a heartworm preventive. 

Types of flea and tick medications: There are several types of treatments, including topical, oral, collars, shampoos, and sprays. Cost, convenience, ease of use, and effectiveness vary among these products. Your vet can help you determine the best type for your dog. We advise against flea sprays because topical spot-ons and oral products are more effective. Remember that some dogs with sensitive skin may not tolerate topical products. Crumley says that frequent bathing or swimming may also reduce the effectiveness of a topical product that remains on the skin’s surface.

Natural vs. synthetic: Our experts do not recommend using natural products instead of veterinarian-recommended topical and oral flea control. While natural treatments can deter fleas and ticks, they won’t eliminate an infestation. “If you use them, be prepared to apply them at least daily before your pet goes outside for the best chance of keeping the hitchhikers from latching on,” says Crumley. If you also have kitties at home, avoid natural flea control products containing essential oils because some can be toxic to cats.

Other pets in your home: Any product labeled for use in only dogs should never be given to a cat. Some ingredients can be toxic to cats. While any dog-only flea product can harm felines, cats are especially sensitive to pyrethrins. If you’re looking for a safe product for your cat, check out our guide to the best flea treatments for cats.

How we selected the best flea and tick treatments for dogs

We consulted two veterinarians for advice regarding the treatment and prevention of fleas and other parasites in dogs. This information guided our selection of the best flea and tick treatments for dogs, but our experts did not endorse any of the products included in this guide unless explicitly quoted.

We also conducted research using the quick product reference guide published by the independent, nonprofit Companion Animal Parasite Council. This helpful reference includes all FDA- and EPA-approved parasite control products for small animals along with each product’s active ingredients, directions for how to use it, and which parasites it controls.

Flea medicine for dogs FAQs

Do dogs really need flea and tick medicine?

Yes. Not only are fleas and ticks a big nuisance, they also carry diseases that can make dogs extremely ill. Although you may be tempted to use parasite preventives only in spring and summer, fleas, ticks, mosquitoes, and intestinal parasites are resilient. Veterinarians recommend that dogs stay on broad-spectrum parasite preventives all year.

What are the types of flea and tick medicine for dogs?

Flea and tick medicines are available as oral and topical products, collars, and shampoos. Oral products are chewable tablets, while topical products are ointments that go directly on the skin. Flea collars have fallen out of favor because they are less effective than oral and topical treatments. Shampoos are also less effective and do not provide long-lasting flea protection. These medicines are available over the counter or by prescription and contain different active ingredients to kill and repel fleas and ticks. 

What do vets recommend to get rid of fleas?

Getting rid of fleas can take several days to weeks. Veterinarians recommend a multipronged approach: Kill the existing fleas, prevent new infestations, and treat the environment, both indoors and outside. If you have multiple pets, treat them at the same time. Treating inside your home involves vacuuming where flea eggs and larvae like to hide, such as cracks and crevices, and washing bedding in hot water. Treating outdoors involves eliminating any areas where fleas could hide, such as piles of leaves and tall grass. If this process seems daunting, you can hire a pest control service.

What is the most effective flea and tick treatment for dogs?

There is no single treatment that works best for all dogs. The best flea and tick treatments for dogs vary in many ways, including how many parasites they target, active ingredients, safety restrictions, and how long they’re effective. The most desirable treatments provide long-lasting protection, target adult fleas as well as eggs and larvae, and are effective against other parasites, such as heartworm and intestinal worms. Your veterinarian can help you select the most appropriate product for your dog.

What kills fleas permanently?

To eliminate fleas permanently, you’ll need to do more than kill adult fleas. The other developmental stages, egg and larvae, must also be eliminated. Products that kill the early stages of fleas are the most effective. Year-round flea and tick treatment is also crucial to preventing future infestations. It may take several weeks before all the fleas are gone.

Which is better, NexGard or Frontline?

Both NexGard and Frontline kill fleas at all life stages, plus ticks. Both treatments have their advantages. There are several Frontline products: Shield, Plus, and Gold. Our top choice for an OTC flea preventive is Frontline Plus, which also protects against chewing lice and helps control sarcoptic mange infestations. Compared to Frontline Plus, NexGard kills fleas more quickly (4 hours versus 12 hours) and ticks (24 hours versus 48 hours). For this reason, NexGard is a better choice for preventing the transmission of Lyme disease from ticks. Some veterinarians also use NexGard to treat mange.

What is the safest flea and tick medicine for dogs?

Flea and tick medicines are FDA-approved to be safe and effective. However, these medicines also have safety restrictions depending on age, weight, and whether a dog is pregnant or nursing. Some treatments also have safety warnings for dogs with a history of seizures or other neurologic disorders. As you evaluate flea and tick medicines, check the label to ensure it’s safe for your dog. 

What is the difference between prescription and OTC flea medicine?

Some flea control products are sold over the counter, while others require a prescription. Prescription products typically cost more than OTC treatments because they protect against more parasites, including heartworms. However, OTC options can still provide effective, long-lasting treatment against fleas and other parasites.

Can I get flea and tick medicine without a vet prescription?

Yes, OTC treatments are available without a prescription. These medicines usually do not protect against as many parasites as prescription flea and tick products.

Do flea collars work?

Yes. Flea collars work but are generally less effective than topical or oral treatments. Seresto Flea and Tick Collar for Dogs provides eight months of protection against adult fleas, flea larvae, ticks, and mange mites. Lay recommends flea collars for dogs that cannot tolerate topical or oral flea products. 

Is Seresto harmful to dogs?

In March 2021, USA Today and the Midwest Center for Investigative Reporting published a report alleging that the Seresto flea collar is linked to thousands of adverse incidents in pets and humans. To date, 2,500 pet deaths have been allegedly linked to the collar.

Elanco published a statement defending the collar’s safety and efficacy. The American Veterinary Medical Association (AVMA) and Pet Poison Hotline followed suit. The EPA recommends pet owners read the entire label before using any flea collar and follow all directions carefully. Your veterinarian can provide additional safety guidance. Purchase a Seresto collar only from a reputable online retailer, brick-and-mortar store with a guarantee program, or your veterinarian. To verify product authenticity, call Elanco product support at 800-422-9874. If your pet has an adverse reaction, immediately remove the collar and call your veterinarian. Tim Carroll, EPA’s press secretary, advises pet owners to contact the  National Pesticide Information Center and report adverse reactions to the EPA.

How can I tell if my dog has fleas?

Fleas are hard to see with the naked eye. Look for signs of a flea infestation on your dog, including nonstop biting, scratching, or licking and red, irritated skin. Flea dirt, a rust-colored mixture of blood meal and dried feces, is a telltale sign of fleas and can be found in places your dog spends time, such as their bed. Running a flea comb against the direction of your dog’s fur can pick up the dirt. You can often see it on your dog in hard-to-reach places like the base of the tail, middle of the back, and groin. Other signs include pale gums, which are a sign of anemia, and patches of hair loss. 

Read the original article on Business Insider

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